Articles

`Expressed Emotion (EE)' and patient attributes as risk factors for psychotic relapse in schizophrenic disorders

D.H. Linszen, P.M.A.J. Dingemans, W.F. Scholte, M.E. Lenior, A.J.W. van der Does, M.A. Nugter

In the context of a prospective, controlled treatment study, contrasting family intervention with individual treatment, the role of Expressed Emotion as a predictor of relapse was examined in patients with recent onset schizophrenic disorders (n =...

The structure of the psychotherapeutic relation

J.A.M. de Kroon

To characterize the psychotherapeutic relationship first will be mentioned the status of the subject: The self conscious subject is a reflective subject that not fully coincides with his own. The reflective being implies after all a distance to hi...

Religiosity and depressive symptoms among elderly persons

A.W. Braam, A.T.F. Beekman, D.J.H. Deeg, W. van Tilburg

In this survey among 172 elder inhabitants (55-89) of Sassenheim, a semirural town in the Netherlands, the association between religiosity and depressive symptoms is examined. Religiosity is operationalized as religious salience: the importance of...

The Dutch version of the Comprehensive Psychopathological Rating Scale.

J.G. Goekoop, E.A.M. Knoppert-van der Klein, T. Hoeksema, A.H. Zwinderman

The CPRS is a flexible and economic instrument permitting general screening, intensity rating and multidimensional description. The reliability of the Dutch version is comparable to that of the German scale. The factor structure supports the valid...

A complicated treatment of lethal catatonia

B. Verwey, J.G. Goekoop

The description of the treatment of a patient with lethal catatonia illustrates the value of the combination of electroconvulsive therapy with dantrolene sodium, but also the limitations of this treatment. In addition to this combination, corticos...

Light therapy for Seasonal Affective Disorder

E.C. van IJken, A.M. van Nispen tot Pannerden

During the last decade Seasonal Affective Disorder (SAD) and light therapy have been the subject of many publications. Even though many questions still remain unanswered, there is reason to assume that light therapy is an effective treatment for w...

Confusing oscillations of attachment of borderline personality disorder: a system approach

H.P. America, W. Teer

The confusing oscillations of attachment of borderline personality disorder are described. This behaviour is proposed to render impotence that may undermine the therapeutic relationship. The authors present a system approach of this interactional ...

The ZAS, the construction and psychometric analysis of a scale of care, given to chronic psychiatric patients

L.J. van der Werf, A.W. Goedhart

An observation-scale was developed to assess several aspects of care. The scale (ZAS, `Zorg-Aanbod-Schaal') was examined in a regional sample of 541 chronic psychiatric patients. Six factor analytically derived subscales were identified. The inter...

Assisting with suicide in psychiatric patients. Grounds for justification and criteria of due care

M. van der Lijn, W.A. Nolen, W.J. Schudel

Euthanasia for psychiatric patients is still a controversial subject. This article contains firstly a review of the arguments put forward by different groups and individuals as to whether it is justified, following the example of euthanasia in pat...

Shame and Depression

J. Bollen

Feelings of shame have been less frequently related to the symptoms and origin of depression than feelings of guilt. Therefore, we proceeded upon an exploration of the phenomenon of shame from a psychoanalytical, self-psychological, cognitive, phe...

The predictive value of psychological variables for the course of eating disorders of adolescents

T. van der Ham, D.C. van Strien, H. van Engeland

Results of studies on predictives factors in eating disorders are not very clear up till now. Attention was focused primarily on the predictive value of eating behaviour, duration of illness, comorbidity and demographic variables in groups with mi...

Praecox-feeling and psychosis-indirection

C.P.F. Lemke

Precious moments of uncertainty occur both in the diagnostics of psychoses (Rümke's praecox-feeling) and in the art of interpreting poetry (Riffaterre's indirections). The praecox-feeling refers in particular to reciprocity failing to occur in the...

Fluvoxamine Treatment for Chronic PTSD

M.C. de Boer, W. op den Velde, P.R.J. Falger, J.E. Hovens, J.H.M. de Groen, H. van Duijn

A group of 24 Dutch World War II Resistance veterans with a documented traumatic war history and a positive diagnosis of current Post-Traumatic Stress Disorder (PTSD) was studied. This special group of war victims is characterised by chronicity, a...

Polymerase chain reaction and psychiatry

A.H. Veefkind, C.A. Moggré

An important breakthrough in molecular biology is the recently discovered technique of the `polymerase chain reaction' (PCR). By means of this technique strands of DNA can be copied in a relatively short time, producing a substantial amount of det...

Diagnosis and psychopharmacological treatment of trichotillomania: a review

J.P.C. Jaspers

In this article two issues in the recent literature on trichotillomania are evaluated. One issue is a diagnostic one: is trichotillomania an obsessive compulsive spectrum disorder? The other issue concerns treatment: are antiobsessional serotonine...

Psychopathy as diagnosis; wrongly out of use?

A. Schadé, G.F. Koerselman

The diagnosis `psychopathy' formerly included many psychiatric syndromes which nowadays would be classified as personality disorders. After the nineteen forties, Cleckly, in his standard work `The mask of Sanity' made an pionering effort to carefu...

Cultural and religious aspects of grief and trauma after a plane crash in the Netherlands

J.T.V.M. de Jong, M.M. van Schaik

After a plane crash in Amsterdam in 1992, 43 persons were killed and 400 households were evacuated. Most victims involved in the crash of the cargo plane were immigrants. This article describes the role of christianity, the islam and the afroameri...

Psychoanalytical Supportive Psychotherapy

R.C. van der Mast, J.M.J. Smorenburg, F. de Jonghe

In this article Psychoanalytical Supportive Psychotherapy (PSP) is described as a specific psychotherapeutic method based on the psychoanalytic theory. The psychoanalytical psychotherapies can be described on the basis of a continuum with on the o...

Guidelines in psychiatry: a necessary good?

J.A. Swinkels

The development of guidelines for clinical practice as well as the objections against it are discussed. The problems facing the implementation of guidelines are in part of a methodological nature; in part they reflect adverse developments in socie...

Partial hospitalization of patients newly admitted to open inpatient wards of general hospitals

N.W. Poelijoe, A.H. Schene, B. van Wijngaarden, B.P.R. Gersons

Before this study, a randomized controlled trial in a Dutch university psychiatric ward showed that 33% of all admitted patients were suited for day-treatment soon after admission. It was also demonstrated that, for this patiens, full-time and day...

The association between smoking and schizophrenia

H.L.I. Nijman, H.L.G.J. Merckelbach, D.P. Ravelli

Several studies indicate that schizophrenic patients smoke more than normal subjects or non-schizophrenic psychiatric patients. It has been suggested that the excessive smoking behaviour of the schizophrenic patient may be connected with stress, h...

J.M.J. Smorenburg, R.C. van der Mast, F. de Jonghe

Psychodynamische persoonlijkheidsdiagnostiek

ISSUE 1994/3

16 maart 2004

In this article different psychodynamic approaches are discussed which are useful for a careful personality assessment before indicating and beginning the therapy. Successively, the structural diagnosis according to Kernberg, the spectrum of perso...

Prognoses on psychiatrists

ISSUE 1994/3

16 maart 2004

G.J.M. Hutschemaekers

This article focusses on the job market position of psychiatrists. In 1982 Schnabel foresaw a considerable surplus of psychiatrists. In 1987, however, there turned out to be a big shortage. That was because Schnabel had not reckoned with a less in...